Individual
EVELYN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(310) 319-4000
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95021698
CA
363LA2100X
Acute Care Nurse Practitioner
95021698
CA
Other
Enumeration date
07/15/2022
Last updated
04/04/2025
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